Individual
CHARLES O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1212 E SHERMAN BLVD, MUSKEGON, MI 49444-1879
(231) 727-5211
(231) 727-4571
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 727-4444
(231) 727-4451
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301033444
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4531639
—
MI
01
—
N94150004
MEDICARE
MI
Enumeration date
05/19/2006
Last updated
08/16/2012
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